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Robotic-assisted laparoscopic sacrocolpopexy: Initial Canadian experience
Yunwei Zhao1, Blair St Martin1
1Division of Urology, Department of Surgery, University of Alberta, Edmonton, AB, Canada.
Summary
Robotic-assisted laparoscopic sacrocolpopexy (RALS) is a safe and effective procedure for apical pelvic organ prolapse in Canada. The study found no recurrence of apical prolapse, with good outcomes even with concurrent pelvic surgeries.
Area of Science:
- Urogynecology
- Minimally Invasive Surgery
- Pelvic Reconstructive Surgery
Background:
- Abdominal sacrocolpopexy is effective for apical pelvic organ prolapse.
- Robotic-assisted laparoscopic sacrocolpopexy (RALS) reduces surgical risks.
- RALS has not been previously performed in Canada.
Purpose of the Study:
- Evaluate preoperative patient characteristics for RALS.
- Assess intraoperative surgical parameters of RALS.
- Determine postoperative outcomes of RALS in Canada.
Main Methods:
- Retrospective chart review of 47 patients undergoing RALS (2016-2018).
- Single surgeon at a Canadian tertiary care hospital.
- Analysis of preoperative, intraoperative, and postoperative data.
Main Results:
- Mean patient age 60.2 years, BMI 28.3 kg/m².
- 96% of patients had concomitant procedures (adnexal, anti-incontinence, hysterectomy).
- No apical prolapse recurrence after mean 60.1 weeks follow-up; 22% experienced posterior compartment prolapse; 2 Clavien-Dindo grade 3 complications.
Conclusions:
- RALS is safe and effective for apical pelvic organ prolapse with concurrent procedures.
- Good postoperative outcomes observed with RALS.
- Consider concurrent posterior repairs in select RALS patients.
